Rigid gas permeable contact lens fitting after radial keratotomy.
OBJECTIVE
The purpose of our study was to determine whether radial keratotomy (RK) patients could be fit with rigid gas permeable (RGP) contact lenses based on postoperative keratometry measurements.


METHODS
Thirteen eyes from eight post-RK patients were fit with RGP lenses for residual refractive errors. Since these patients were self-referred and were operated on elsewhere, preoperative keratometry readings were not available. We used postoperative keratometry readings for base curve selection; and spherical polymethylmethacrylate diagnostic lenses were used for fitting.


RESULTS
Visual improvements averaged 3.85 Snellen lines (range: 1-8 lines). Prefitting visual acuities were: 20/30 (5 eyes); 20/40 (1 eye); 20/ 50 (1 eye); 20/60 (1 eye); 20/70 (3 eyes); 20/150 (1 eye); and 20/200 (1 eye). Final visual acuities were 20/20 (7 eyes), 20/25 (4 eyes), 20/30 (1 eye), and 20/40 (1 eye).


CONCLUSIONS
We found that when fitting post-RK eyes with RGP contact lenses preoperative keratometry was unnecessary, and an empirical fitting method based on postoperative keratometry was successful.
Lee
A M
AM
Department of Ophthalmology, Tulane University School of Medicine, New Orleans, Louisiana 70112, USA.
Kastl
P R
PR
D000328:Adult; D003261:Contact Lenses; D019781:Corneal Topography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007646:Keratotomy, Radial / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000628:therapy*; D017755:Prosthesis Fitting; D012030:Refractive Errors / Q000209:etiology / Q000628:therapy*; D012189:Retrospective Studies; D014792:Visual Acuity